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General NPI Number Information
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NPI Number | 1053960773
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Entity Type | Organization
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Legal Business Name | GASTINEAU HUMAN SERVICES CORPORATION
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 5609 AISEK ST
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City | JUNEAU
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State | AK
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Zip | 99801-9522
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Country | US
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Telephone | 907-780-3044
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Fax | 307-780-6083
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Provider Business Mailing Address
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Address Line | 5597 AISEK STREET
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City | JUNEAU
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State | AK
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Zip | 99801-9522
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Country | US
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Telephone | 907-780-4338
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Fax | 307-780-4098
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Authorized Official
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Title or Position | BEHAVIORAL HEALTH OFFICE MANAGER
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Name | SYDNEY KING
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Credential | BS
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Telephone | 907-780-3055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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